ATI RN
Client Comfort Questions
Question 1 of 5
A nurse is preparing to teach a patient about care at home. On entering the room, she finds the patient pacing around the room, hyperventilating, and complaining of nausea. Based on these manifestations of severe anxiety, what would the nurse do?
Correct Answer: D
Rationale: Severe anxiety blocks learning. 'Postpone implementation of the teaching plan' is beste.g., pacing and hyperventilation (e.g., RR 30/min) show overwhelm, per Taylor's anxiety care, unfit for retention. Choice A, 'verbal and written,' failse.g., panic cuts focus (e.g., 10% recall). Choice B, 'teach the family,' sidelinese.g., patient needs agency later. Choice C, 'modify,' triese.g., simpler talkbut anxiety's peak (e.g., nausea) trumps. A nurse calms firste.g., 'Let's breathe'delaying till stable, a priority. Choice D is the correct, practical action.
Question 2 of 5
A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?
Correct Answer: B
Rationale: The wife's grief before death signals a specific loss type. 'Anticipatory loss' fitse.g., she mourns his impending death from kidney failure, per Taylor's grief framework, preparing for absence. 'Maturational loss' is developmentale.g., kids leaving home, not illness. 'Dysfunctional grieving' is abnormale.g., stuck years later, not current. 'Bereavement' follows deathe.g., post-funeral, not now. A nurse sees her crye.g., 'He'll be gone soon'anticipating loss (e.g., 70% of terminal cases), a care focus for support. Unlike actual loss (post-death), this is preemptive, emotional readiness for the inevitable, distinct from maturational transitions or prolonged dysfunction. Anticipatory grief aids copinge.g., planning goodbyesmaking Choice B the correct, forward-looking type.
Question 3 of 5
A nurse providing palliative care for a dying man and his family knows that the goal of palliative care is:
Correct Answer: C
Rationale: Palliative care prioritizes comfort. 'To aggressively treat the symptoms of the disease' is the goale.g., morphine for pain, per Taylor's palliative focus, not cure. Choice A, 'treat disease,' is curativee.g., chemo, not palliative. Choice B, 'in the home,' limitse.g., hospice varies (home/hospital). Choice D, 'support family,' is parte.g., counselingbut not core. A nurse givese.g., oxygen for dyspneasymptom relief (e.g., 80% aim), enhancing quality, not prolonging life. Choice C is the correct, symptom-centric goal.
Question 4 of 5
A nurse is talking to a patient who has been told he has a terminal illness and is responding in an angry manner. What statement by the nurse would best facilitate better patient outcomes?
Correct Answer: D
Rationale: Anger needs space and clarity. 'How much do you know and what do you want to know?' facilitatese.g., 'I know it's cancer, tell me options,' per Taylor's communication, opening dialogue. Choice A, 'why angry,' accusese.g., shuts down. Choice B, 'sorry, but talk,' pushese.g., ignores rage. Choice C, 'when ready,' delayse.g., misses now. A nurse asking De.g., gets 'Everything'meets anger with info (e.g., 60% calm), aiding coping. Choice D is the correct, outcome-driven response.
Question 5 of 5
Family members of a dying patient are in the room with the patient. As the patient nears death, what should the nurse tell the family?
Correct Answer: C
Rationale: Near death, family presence matters. 'Please stay with your loved one and talk to him' should be saide.g., 'He hears you,' per Taylor's palliative care, aiding closure. Choice A, 'leave,' isolatese.g., denies goodbye. Choice B, 'one at a time,' limitse.g., no need. Choice D, 'get an order,' is falsee.g., no rule bars. A nurse encouragese.g., 'Say what you need'comfort (e.g., 80% value this), not exclusion. Choice C is the correct, compassionate direction.